Texas Legal professional Basic Ken Paxton sued Epic this week, alleging that the corporate is monopolizing the EHR market and proscribing sufferers’ entry to their very own medical information.
Epic’s EHR techniques are put in in additional than 3,600 hospitals within the U.S., giving the corporate roughly 42% of the acute care hospital EHR market — way over any competitor like Oracle Cerner or Meditech. The Verona, Wisconsin-based firm generated $5.7 billion in income final 12 months.
The lawsuit not solely claims that Epic makes use of its dominant place to stifle competitors, but additionally that it blocks dad and mom’ entry to their kids’s medical information as soon as they attain a sure age.
“We is not going to enable woke firms to undermine the sacred rights of fogeys to guard and oversee their children’ medical well-being,” Paxton mentioned in a assertion. “This lawsuit goals to make sure that Texans can readily receive entry to those information and profit from the decrease prices and innovation that come from a very aggressive digital well being information market.”
Epic has denied the allegations, calling them misguided.
What’s being alleged?
The grievance, filed Wednesday, argues that Epic leverages its market dominance to forestall hospitals from transferring to competing EHR techniques — and that this follow has successfully shut out rival distributors for many years.
“Epic controls who can entry this information, after they can entry it, and the phrases by which they’ll entry it — regardless of the straightforward reality that it’s the hospitals’ and sufferers’ information, not Epic’s,” the lawsuit reads.
Primarily, Paxton alleges that Epic unlawfully restricts or delays suppliers’ entry to affected person information after they use non-Epic techniques, due to this fact hindering the move of important medical info and probably suspending care.
His lawsuit additionally highlights Epic’s use of noncompete agreements, saying that these restrict different firms’ capacity to rent prime expertise. As just lately as 2019, these agreements prohibited former Epic workers from working for hundreds of healthcare software program companies throughout their noncompete interval, in accordance with the grievance.
How does the mum or dad angle match into this?
Paxton sees this lawsuit not solely as a transfer to uphold the free market, but additionally as a continuation of his efforts to guard dad and mom’ entry to their kids’s medical information.
In October, his workplace settled with an Austin-based clinic after its affected person document system allegedly locked dad and mom out of their kids’s accounts as soon as they turned 12.
Paxton’s workplace is claiming that Epic hides well being information from dad and mom as soon as the kid turns 12, saying that this violates Texas’ well being and security code, which grants dad and mom full and unrestricted entry to their kids’s medical information.
Epic has responded by saying it doesn’t decide parental entry to kids’s information, as these choices are made by particular person well being techniques and suppliers.
How is Epic responding?
Epic is just not admitting to any wrongdoing, an organization spokesperson mentioned in an e-mail despatched to MedCity Information.
“The motion taken by Texas is flawed and misguided by its failure to grasp each Epic’s enterprise mannequin and place out there and the big contributions our firm has made to our nation’s healthcare system illustrated by merchandise like MyChart — software program that tens of hundreds of thousands of Individuals depend upon daily,” the spokesperson acknowledged.
Additionally they famous that Epic facilitates greater than 725 million well being document exchanges every month, which is rather more than some other EHR vendor.
Hasn’t one thing like this occurred earlier than?
That is actually not the primary time Epic has been criticized for blocking the free move of well being information. In actual fact, the corporate is presently embroiled in a yearslong authorized battle with information platform Particle Well being.
Following months of dispute, Particle filed an antitrust lawsuit towards Epic final 12 months, alleging that the corporate wielded its dominant market stance to make competitors unattainable within the payer platform area.
Epic has denied wrongdoing on this case as effectively — however in September, a federal decide superior the lawsuit, marking the primary time antitrust allegations towards the EHR large have gotten this far.
The following step is the invention part, which might shed new gentle on how information sharing guidelines are enforced.
Photograph: NiroDesign, Getty Photographs
